NPI | 1326358425 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1097258) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 305411) |
363LF0000X Nurse Practitioner, Family (Licence: OH 0034101) | |
363LF0000X Nurse Practitioner, Family (Licence: FL APRN11023777) | |
363LF0000X Nurse Practitioner, Family (Licence: TN 35670) | |
363LF0000X Nurse Practitioner, Family (Licence: PA SP027545) | |
363LF0000X Nurse Practitioner, Family (Licence: AR 35670) | |
Enumeration Date | 2010-10-07 |
Last Update Date | 2024-12-09 |