| NPI | 1942552807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN192490) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 305228) |
| 163W00000X Registered Nurse (Licence: GA RN192490) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0101641-C-NP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1151053) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP61542925) | |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2024-04-16 |