| NPI | 1750577698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A003043) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5018111) |
| 363LF0000X Nurse Practitioner, Family (Licence: OK 212467) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1132750) | |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2024-05-17 |