| NPI | 1801201546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11018424) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP126169) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024185169) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 274635) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NM 69305) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0135531TELE) | |
| Enumeration Date | 2014-06-20 |
| Last Update Date | 2024-07-02 |