NPI | 1770281016 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1110862) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN04273) |
363LF0000X Nurse Practitioner, Family (Licence: NC 5020824) | |
363LF0000X Nurse Practitioner, Family (Licence: TN 36864) | |
363LF0000X Nurse Practitioner, Family (Licence: VA 0024190959) | |
363LF0000X Nurse Practitioner, Family (Licence: KY 4025055) | |
Enumeration Date | 2023-02-16 |
Last Update Date | 2024-12-04 |