NPI | 1700385473 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN23830) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5023080) |
363LF0000X Nurse Practitioner, Family (Licence: OH 0038345) | |
363LF0000X Nurse Practitioner, Family (Licence: FL APRN11037338) | |
363LF0000X Nurse Practitioner, Family (Licence: AL 3-002157) | |
363LF0000X Nurse Practitioner, Family (Licence: TX 1189348) | |
Enumeration Date | 2018-02-07 |
Last Update Date | 2025-10-01 |