| NPI | 1710480900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11005790) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 35575) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0101424-C-NP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 3-001655) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.022567) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 286239) | |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2024-04-12 |