NPI | 1699739482 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN2718332) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP2718332) |
363L00000X Nurse Practitioner (Licence: CA 21341) | |
363LA2200X Nurse Practitioner, Adult Health (Licence: CA 21341) | |
363LA2200X Nurse Practitioner, Adult Health (Licence: OR 201506150NP-PP) | |
363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704394022) | |
363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP2718332) | |
Enumeration Date | 2006-04-17 |
Last Update Date | 2024-06-19 |