| NPI | 1275988289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71007601A) |
| Additional Taxonomies | 146M00000X Emergency Medical Technician, Intermediate (Licence: TX AP130675) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN197198) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP130675) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 10661) | |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2023-06-21 |