| NPI | 1528291861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-102462) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5020914) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 36368) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL TPAN2041) | |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 29275) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 0037621) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MS 905136) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: AL 1-102462) | |
| Enumeration Date | 2009-09-03 |
| Last Update Date | 2024-11-26 |