| NPI | 1659713865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R195733) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD AC004505) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95007319) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 5707) | |
| 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-1873) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11004406) | |
| Enumeration Date | 2013-07-29 |
| Last Update Date | 2024-01-09 |