NPI | 1053781310 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9279303) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 28079) |
363LF0000X Nurse Practitioner, Family (Licence: TX 1111711) | |
363LF0000X Nurse Practitioner, Family (Licence: TN 35911) | |
363LF0000X Nurse Practitioner, Family (Licence: AL 3-001654) | |
Enumeration Date | 2015-09-30 |
Last Update Date | 2024-06-04 |