| NPI | 1538672126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A163943) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA A163943) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 248402) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 9481943) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 29936) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WY 46550) | |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2022-01-23 |