| NPI | 1407835101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP107088) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704379404) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 20496) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0001472-C-NP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP30006084) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 348412) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209.025719) | |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2023-07-10 |