| NPI | 1255572020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 9212204) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 202001204NP-PP) |
| 363L00000X Nurse Practitioner (Licence: FL A0109025) | |
| 363L00000X Nurse Practitioner (Licence: AZ 304581) | |
| 363L00000X Nurse Practitioner (Licence: CO APN.1000015-NP) | |
| Enumeration Date | 2009-03-09 |
| Last Update Date | 2024-08-12 |