| NPI | 1710583869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ 250698) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: AZ 250698) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: AZ 250698) | |
| 363LP0200X Nurse Practitioner Pediatrics (Licence: AZ 250698) | |
| 363LP2300X Nurse Practitioner Primary Care (Licence: AZ 250698) | |
| 363LW0102X Nurse Practitioner Women's Health (Licence: AZ 250698) | |
| Enumeration Date | 2020-12-04 |
| Last Update Date | 2020-12-04 |