NPI | 1144625542 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60889399) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP126728) |
363LF0000X Nurse Practitioner, Family (Licence: MT APRN-131649) | |
363LF0000X Nurse Practitioner, Family (Licence: OR 10001135) | |
363LF0000X Nurse Practitioner, Family (Licence: ID 59453) | |
Enumeration Date | 2014-10-28 |
Last Update Date | 2024-09-10 |