| NPI | 1427247329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AK 1315) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MD R170266) |
| 363LF0000X Nurse Practitioner Family (Licence: AZ AP2923) | |
| 363LF0000X Nurse Practitioner Family (Licence: AZ RN149501) | |
| 363LF0000X Nurse Practitioner Family (Licence: HI RN64596) | |
| 363LF0000X Nurse Practitioner Family (Licence: HI APRN1145) | |
| 363LF0000X Nurse Practitioner Family (Licence: HI APRN-RX 259) | |
| 163W00000X Registered Nurse (Licence: AK 34667) | |
| 363LF0000X Nurse Practitioner Family (Licence: AK DEA MS2695899) | |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2012-08-27 |