| NPI | 1417957051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV APN000993) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95024565) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 219619) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9486107) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 277000449) | |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2023-10-24 |