| NPI | 1033551247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9441994) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 3-001621) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5018981) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 36028) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1096764) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WV APRN68139NP) | |
| Enumeration Date | 2013-07-29 |
| Last Update Date | 2024-04-30 |