NPI | 1376078196 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 375828-4405) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP10110) |
363L00000X Nurse Practitioner (Licence: NV APRN002492) | |
363LW0102X Nurse Practitioner, Women's Health (Licence: UT 375828-4405) | |
Enumeration Date | 2017-04-30 |
Last Update Date | 2023-12-26 |