| NPI | 1982011060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN242150) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9327361) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP61463666) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95026289) | |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2024-06-12 |