| NPI | 1467043604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 314396) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0136520) |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 53-82407-081) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11005514) | |
| Enumeration Date | 2021-01-31 |
| Last Update Date | 2024-11-06 |