| NPI | 1174164248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11004039) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 31139) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1062178) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 235805) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5020571) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 3-001113) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0036269) | |
| Enumeration Date | 2019-09-30 |
| Last Update Date | 2024-08-01 |