| NPI | 1407845829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9467482) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 209.024394) |
| 207Q00000X Family Medicine (Licence: OR 201508268NPPP) | |
| 207Q00000X Family Medicine (Licence: WA AP60485691) | |
| 207Q00000X Family Medicine (Licence: OK M0137542) | |
| 207Q00000X Family Medicine (Licence: OH 0030800) | |
| 207Q00000X Family Medicine (Licence: TX 1059111) | |
| 207Q00000X Family Medicine (Licence: AZ AP11697) | |
| 207Q00000X Family Medicine (Licence: LA AP06038) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9467482) | |
| 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-4525) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 34910) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0102177-C-NP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 3-001421) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MS 652075) | |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2024-08-14 |