| NPI | 1225707581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 270967) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-3311) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95029567) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0102035-C-NP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1158928) | |
| Enumeration Date | 2021-09-09 |
| Last Update Date | 2024-06-10 |