| NPI | 1598398711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 208908) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-2690) |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 12.008552) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 11020893) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95011585) | |
| Enumeration Date | 2020-02-17 |
| Last Update Date | 2023-10-18 |