| NPI | 1801422472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11006069) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA 61205092) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95020037) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0996690-NP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1061184) | |
| Enumeration Date | 2020-03-16 |
| Last Update Date | 2023-01-23 |