| NPI | 1205937141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN 881) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 368867-1) |
| 163W00000X Registered Nurse (Licence: AZ 109786) | |
| 163W00000X Registered Nurse (Licence: IL 041-334040) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F332485-1) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ AP1066) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 041-334040) | |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2016-10-19 |