NPI | 1518235456 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-187488) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9322583) |
363LF0000X Nurse Practitioner, Family (Licence: TN 29340) | |
363LF0000X Nurse Practitioner, Family (Licence: WA AP60625476) | |
363LF0000X Nurse Practitioner, Family (Licence: VA NP0024174695) | |
363LF0000X Nurse Practitioner, Family (Licence: NC 5009578) | |
Enumeration Date | 2011-12-07 |
Last Update Date | 2025-03-13 |