| NPI | 1134739626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 903989) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024179477) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 921059) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0103433-C-NP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1184853) | |
| Enumeration Date | 2020-08-09 |
| Last Update Date | 2025-01-06 |