| NPI | 1104344456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11006305) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 3-001691) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 0033124) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1132367) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2277399) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 36409) | |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2024-09-06 |