| NPI | 1326417171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP130591) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: HI APRN-4482) |
| 363L00000X Nurse Practitioner (Licence: OR 10011924) | |
| 363L00000X Nurse Practitioner (Licence: FL APRN11024231) | |
| 363L00000X Nurse Practitioner (Licence: AZ 298265) | |
| 363L00000X Nurse Practitioner (Licence: IL 209.029032) | |
| 363L00000X Nurse Practitioner (Licence: CO C-APN.0100877-C-NP) | |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2024-05-01 |