| NPI | 1720420474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 18375) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024178796) |
| 363L00000X Nurse Practitioner (Licence: CO C-APN.0001856-C-NP) | |
| 363L00000X Nurse Practitioner (Licence: TX AP146067) | |
| 363L00000X Nurse Practitioner (Licence: WV 61062324) | |
| 363L00000X Nurse Practitioner (Licence: NV 827986) | |
| 363L00000X Nurse Practitioner (Licence: WA 61062324) | |
| 363L00000X Nurse Practitioner (Licence: FL APRN11008513) | |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2022-09-13 |