| NPI | 1497027569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 202112819NP-PP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 728662) |
| 207P00000X Emergency Medicine (Licence: TX 728662) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 728662) | |
| 363LF0000X Nurse Practitioner, Family (Licence: ID 66968) | |
| Enumeration Date | 2012-02-03 |
| Last Update Date | 2024-06-20 |