NPI | 1750528832 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 7781202-8900) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: UT 7781202) |
363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9249587) | |
363LF0000X Nurse Practitioner, Family (Licence: NV TAPN700654) | |
363LF0000X Nurse Practitioner, Family (Licence: CA 19006) | |
363LF0000X Nurse Practitioner, Family (Licence: UT 7281202-4405) | |
Enumeration Date | 2009-01-12 |
Last Update Date | 2022-08-10 |