| NPI | 1043562150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 17967) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11008459) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA 257951) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IA A160595) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NM 61628) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1014964) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ TEMP249104) | |
| 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: SC 17967) | |
| Enumeration Date | 2012-10-12 |
| Last Update Date | 2020-11-03 |