| NPI | 1588141725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 902622) |
| Additional Taxonomies | 363LS0200X Nurse Practitioner, School (Licence: MS 902622) |
| 363LF0000X Nurse Practitioner, Family (Licence: AR A005678) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000024237) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MS 902622) | |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2024-01-25 |