| NPI | 1053367193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5008519) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD AC004060) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024173113) | |
| 363LF0000X Nurse Practitioner, Family (Licence: GA NP000162) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11015163) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NV APN001047) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1060247) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 80350) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: FL 2883852) | |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2021-12-08 |