| NPI | 1629676614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11009390) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 307054) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209030526) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 0036132) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0102124-C-NP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1160135) | |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2024-09-12 |