| NPI | 1235481722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209024290) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 3-001666) |
| 363L00000X Nurse Practitioner (Licence: OH 491518) | |
| 363L00000X Nurse Practitioner (Licence: FL ARNP 9213192) | |
| 363L00000X Nurse Practitioner (Licence: TX 1036146) | |
| 363L00000X Nurse Practitioner (Licence: AZ 259179) | |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2024-05-01 |