NPI | 1851585855 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN002759) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 819440) |
363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209-005932) | |
363LF0000X Nurse Practitioner, Family (Licence: IL 209-005932) | |
363LF0000X Nurse Practitioner, Family (Licence: TX 819440) | |
Enumeration Date | 2007-09-01 |
Last Update Date | 2022-10-20 |