| NPI | 1619487303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MS 902046) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AZ 296925) |
| 363LF0000X Nurse Practitioner Family (Licence: CO C-APN.0004355-C-NP) | |
| 363LF0000X Nurse Practitioner Family (Licence: WA AP61342325) | |
| 363LF0000X Nurse Practitioner Family (Licence: TX AP139320) | |
| Enumeration Date | 2017-10-07 |
| Last Update Date | 2024-09-21 |