| NPI | 1467897652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 18237) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5018619) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11022173) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1155030) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 0036299) | |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2024-04-30 |