NPI | 1508227810 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2016001345) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NV 882631) |
363L00000X Nurse Practitioner (Licence: UT 14210336-4405) | |
363LF0000X Nurse Practitioner, Family (Licence: KS 77059) | |
363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0102921-C-NP) | |
Enumeration Date | 2016-03-14 |
Last Update Date | 2025-04-21 |