| NPI | 1255631248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN267289) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1134945) |
| 363L00000X Nurse Practitioner (Licence: CO C-APN.0101127-C-NP) | |
| 363L00000X Nurse Practitioner (Licence: AZ 299068) | |
| 363L00000X Nurse Practitioner (Licence: NH 055535-21) | |
| 363L00000X Nurse Practitioner (Licence: NC 5019108) | |
| 363L00000X Nurse Practitioner (Licence: GA GAA-NP001936) | |
| 363L00000X Nurse Practitioner (Licence: WA AP61478090) | |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2024-01-02 |