| NPI | 1326883240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV 882337) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: RI RN41231) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95019581) | |
| 163WG0000X Registered Nurse, General Practice (Licence: CA RN656881) | |
| 163WG0000X Registered Nurse, General Practice (Licence: NV RN70706) | |
| 163WG0000X Registered Nurse, General Practice (Licence: AZ RN307537) | |
| Enumeration Date | 2024-07-01 |
| Last Update Date | 2024-08-27 |