| 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 |