NPI | 1700320876 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN333284) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 9316295) |
363LF0000X Nurse Practitioner, Family (Licence: WA AP61498837) | |
363LF0000X Nurse Practitioner, Family (Licence: OR 10018520) | |
363LF0000X Nurse Practitioner, Family (Licence: NH 112963-23) | |
Enumeration Date | 2016-12-08 |
Last Update Date | 2025-01-16 |