| NPI | 1053492041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 3388492) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 722453) |
| 363L00000X Nurse Practitioner (Licence: WA 30007794) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 12832) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AR 03033) | |
| 363LF0000X Nurse Practitioner, Family (Licence: LA 05082) | |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2008-02-05 |