NPI | 1588136063 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP138306) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 223784) |
363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0100163-C-NP) | |
363LF0000X Nurse Practitioner, Family (Licence: WA AP61381645) | |
Enumeration Date | 2018-12-21 |
Last Update Date | 2024-09-16 |