NPI | 1346699188 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN210716) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0003334-C-NP) |
363LF0000X Nurse Practitioner, Family (Licence: AZ 267260) | |
363LF0000X Nurse Practitioner, Family (Licence: TX 1100055) | |
363LF0000X Nurse Practitioner, Family (Licence: WA AP61400717) | |
Enumeration Date | 2016-06-10 |
Last Update Date | 2023-12-14 |