| NPI | 1265050272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 10004944) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ID 75864) |
| 363L00000X Nurse Practitioner (Licence: UT 13229678-4405) | |
| 363L00000X Nurse Practitioner (Licence: ME CNP201265) | |
| 363L00000X Nurse Practitioner (Licence: WA AP61403919) | |
| 363LF0000X Nurse Practitioner Family (Licence: ME CNP201265) | |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2023-07-20 |