| NPI | 1255996625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11002260) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9273710) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 277497) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95019809) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 24189913) | |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2024-06-06 |