| NPI | 1477515732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN10929) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.369310) |
| 163W00000X Registered Nurse (Licence: TN 124713) | |
| 363L00000X Nurse Practitioner (Licence: TN 10929) | |
| 363L00000X Nurse Practitioner (Licence: IL 209007186) | |
| 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-884) | |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2022-03-23 |