| NPI | 1154666212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX AP122312) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL APRN11015691) |
| 363LF0000X Nurse Practitioner Family (Licence: CA 95019833) | |
| 363LF0000X Nurse Practitioner Family (Licence: AZ 267234) | |
| 363LF0000X Nurse Practitioner Family (Licence: IL 209024548) | |
| 363LF0000X Nurse Practitioner Family (Licence: GA GAA-NP001297) | |
| 363LF0000X Nurse Practitioner Family (Licence: VA 0024188995) | |
| 363LF0000X Nurse Practitioner Family (Licence: MD AC004962) | |
| Enumeration Date | 2012-11-30 |
| Last Update Date | 2024-05-21 |