| NPI | 1043276686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 0992053) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024169428) |
| 363L00000X Nurse Practitioner (Licence: VA 0017140066) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TN APN07168) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TN RN104737) | |
| Enumeration Date | 2006-04-22 |
| Last Update Date | 2016-02-25 |