| NPI | 1952428146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL APRN11005971) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11005971) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 12596) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: TN APN12596) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: GA RN248574) | |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2020-10-01 |