| NPI | 1033356506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 19640) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 319054) |
| 163W00000X Registered Nurse (Licence: NV RN71202) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 10578) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NV APN001538) | |
| Enumeration Date | 2009-01-20 |
| Last Update Date | 2022-03-14 |