| NPI | 1386945558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 4550) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ AP10508) |
| 363L00000X Nurse Practitioner (Licence: WA AP60191449) | |
| 363L00000X Nurse Practitioner (Licence: NY F421572-01) | |
| 363L00000X Nurse Practitioner (Licence: CO 0003823) | |
| 363L00000X Nurse Practitioner (Licence: IA F170074) | |
| 363L00000X Nurse Practitioner (Licence: IL 209-010404) | |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2023-11-03 |