| NPI | 1538708102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 268265) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0102897-C-NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN10016494) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5020964) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP61619871) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1175403) | |
| Enumeration Date | 2019-12-31 |
| Last Update Date | 2024-11-19 |