NPI | 1225537277 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 79027) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OK 79027) |
363LF0000X Nurse Practitioner, Family (Licence: KS 53-83658-092) | |
363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ15197300) | |
363LF0000X Nurse Practitioner, Family (Licence: NM 71309) | |
363LF0000X Nurse Practitioner, Family (Licence: TX 1110231) | |
Enumeration Date | 2018-02-06 |
Last Update Date | 2025-08-21 |