| NPI | 1023222551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP2686) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5019562) |
| 363L00000X Nurse Practitioner (Licence: TX 1126832) | |
| 363L00000X Nurse Practitioner (Licence: MA RN2384948) | |
| 363L00000X Nurse Practitioner (Licence: WA AP61387279) | |
| 363L00000X Nurse Practitioner (Licence: CO APN.0998278-NP) | |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2024-02-23 |