| NPI | 1205179249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 17464) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX 1053220) |
| 363LF0000X Nurse Practitioner Family (Licence: AZ AP11748) | |
| 363LF0000X Nurse Practitioner Family (Licence: CO C-APN.0001295-C-NP) | |
| 363LF0000X Nurse Practitioner Family (Licence: WA AP60938559) | |
| 363LF0000X Nurse Practitioner Family (Licence: OR 201906509) | |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2023-12-08 |