| NPI | 1063024198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 215194) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV 881827) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 315319) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NM 80712) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1180219) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 4027200) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MS 906931) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 37472) | |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2025-01-06 |