| NPI | 1295031169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-109160) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP4444) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1104925) | |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 27084) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 31680) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209027339) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0034762) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11022060) | |
| Enumeration Date | 2011-02-09 |
| Last Update Date | 2023-10-10 |