NPI | 1811967417 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024168843) |
Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: TX 645471) |
363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 9243216) | |
363LW0102X Nurse Practitioner, Women's Health (Licence: CA 12260) | |
363LW0102X Nurse Practitioner, Women's Health (Licence: TX AP116867) | |
Enumeration Date | 2006-01-25 |
Last Update Date | 2025-02-14 |