| NPI | 1700963105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA sp021446) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26nj01242800) |
| 363LF0000X Nurse Practitioner, Family (Licence: DE lg-0011845) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 505020) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP109543) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2023-06-30 |