| NPI | 1649868738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2020020516) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A178089) |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 14715-33) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NM 77109) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 306067) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1141405) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NV 872995) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NE 115635) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71015923A) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209031113) | |
| Enumeration Date | 2021-01-05 |
| Last Update Date | 2024-12-09 |