NPI | 1265104095 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 904933) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-4940) |
363LF0000X Nurse Practitioner, Family (Licence: FL APRN11036441) | |
363LF0000X Nurse Practitioner, Family (Licence: MO 2024046003) | |
363LF0000X Nurse Practitioner, Family (Licence: NC 5021135) | |
363LF0000X Nurse Practitioner, Family (Licence: OH 0037972) | |
363LF0000X Nurse Practitioner, Family (Licence: TN 37681) | |
Enumeration Date | 2021-09-30 |
Last Update Date | 2025-02-05 |