| NPI | 1033657267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9314266) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 0033193) |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 3-001607) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 35862) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1106800) | |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2024-04-30 |