NPI | 1770877623 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS R878053) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MS 878053) |
363LF0000X Nurse Practitioner, Family (Licence: TN 18780) | |
363L00000X Nurse Practitioner (Licence: AR A004567) | |
363LF0000X Nurse Practitioner, Family (Licence: KS 53-81131-012) | |
363LF0000X Nurse Practitioner, Family (Licence: NC 5016836) | |
Enumeration Date | 2011-06-07 |
Last Update Date | 2025-07-23 |