| NPI | 1831477348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9235394) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95019134) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1054577) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209024064) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MD AC004608) | |
| 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP001138) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024188851) | |
| Enumeration Date | 2011-08-01 |
| Last Update Date | 2024-05-22 |