| NPI | 1164706313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201250207NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-116025) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 799606) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 20622) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 1384512) | |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2022-01-06 |