| NPI | 1316369002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 201907439NP-PP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NR20882900) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0001242-C-NP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60909274) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OK 95862) | |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2019-12-26 |