NPI | 1245626472 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 241030) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP127994) |
363LF0000X Nurse Practitioner, Family (Licence: IL 209025176) | |
363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0100479-C-NP) | |
363LF0000X Nurse Practitioner, Family (Licence: FL APRN11018456) | |
363LF0000X Nurse Practitioner, Family (Licence: AL 3-001975) | |
363LF0000X Nurse Practitioner, Family (Licence: KY 4029500) | |
363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0038154) | |
Enumeration Date | 2015-04-14 |
Last Update Date | 2024-11-26 |