| NPI | 1609204528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD AC002372) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP136046) |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 201703425NP-PP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60709181) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 201703425NP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CO APN0990903) | |
| Enumeration Date | 2013-10-31 |
| Last Update Date | 2022-07-13 |