NPI | 1790733624 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO 200612) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WY 56244) |
363L00000X Nurse Practitioner (Licence: FL APRN11014597) | |
363L00000X Nurse Practitioner (Licence: UT 14191416-4405) | |
Enumeration Date | 2006-05-04 |
Last Update Date | 2025-07-16 |