| NPI | 1619447190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5011252) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 202108775NP-PP) |
| 363LF0000X Nurse Practitioner, Family (Licence: MT APRN-176198) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0003059-C-NP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP61219628) | |
| 363LF0000X Nurse Practitioner, Family (Licence: UT 12231509-4405) | |
| 363LF0000X Nurse Practitioner, Family (Licence: ID 64130) | |
| Enumeration Date | 2018-11-28 |
| Last Update Date | 2021-10-01 |