| NPI | 1164679510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX AP117203) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: WI APNP9249) |
| 363LF0000X Nurse Practitioner Family (Licence: IN 71009011B) | |
| 363LF0000X Nurse Practitioner Family (Licence: NM 64317) | |
| 363LF0000X Nurse Practitioner Family (Licence: MS 903244) | |
| 363LF0000X Nurse Practitioner Family (Licence: VA 0024181497) | |
| 363LF0000X Nurse Practitioner Family (Licence: OH 0030325) | |
| 363LF0000X Nurse Practitioner Family (Licence: NY F349235-01) | |
| 363LF0000X Nurse Practitioner Family (Licence: CA 95025997) | |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2023-12-14 |