| NPI | 1770980898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP126805) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024185416) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 350983) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ14905900) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5017263) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 283321) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95023722) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 11025) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MI 4704396051) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209026209) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OK 210940) | |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP027767) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL TPAN1090) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 81615) | |
| 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP001169) | |
| Enumeration Date | 2014-12-04 |
| Last Update Date | 2024-02-05 |