| NPI | 1649794868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 22304) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11012891) |
| 363LF0000X Nurse Practitioner, Family (Licence: ID 68141) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0003012-C-NP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IA A163363) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NM 63864) | |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN249949) | |
| Enumeration Date | 2017-07-30 |
| Last Update Date | 2021-08-18 |