NPI | 1083184113 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 80615) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0103814-C-NP) |
363LF0000X Nurse Practitioner, Family (Licence: WA AP61671216) | |
363LF0000X Nurse Practitioner, Family (Licence: WV 122456) | |
Enumeration Date | 2018-12-02 |
Last Update Date | 2025-07-22 |