| NPI | 1699854778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IL 209009692) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NM 03154) |
| 363L00000X Nurse Practitioner (Licence: UT 10147917-4405) | |
| 111NI0900X Chiropractor Internist (Licence: IL 038008595) | |
| 363L00000X Nurse Practitioner (Licence: WA 60737810) | |
| 363L00000X Nurse Practitioner (Licence: CA 95007523) | |
| 363L00000X Nurse Practitioner (Licence: MN NP5541) | |
| 363LF0000X Nurse Practitioner Family (Licence: AZ AP9866) | |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2020-06-09 |