| NPI | 1285031468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 282916) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 0035152) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95020539) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 202203866) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ14840100) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP126998) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA 61268937) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 12663) | |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2024-09-19 |