| NPI | 1083938476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SD CP002623) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-2165) |
| 363LF0000X Nurse Practitioner, Family (Licence: MS R892549) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NE 114676) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WY 52066) | |
| Enumeration Date | 2010-03-15 |
| Last Update Date | 2023-04-27 |