| NPI | 1841263894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 17568) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000025021) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9454264) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN0000963) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MN 4284) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OK R0119577) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209017416) | |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2019-09-17 |