| NPI | 1851308191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 17205) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA 30006873) |
| 363LF0000X Nurse Practitioner, Family (Licence: AK 910) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP117527) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP117527) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5009812) | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2024-09-23 |