| NPI | 1871963769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 277001622) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP029647) |
| 363L00000X Nurse Practitioner (Licence: CO APN.0999657-NP) | |
| 363L00000X Nurse Practitioner (Licence: TX 1051467) | |
| 363L00000X Nurse Practitioner (Licence: FL APRN11015303) | |
| 363L00000X Nurse Practitioner (Licence: OH 0031219) | |
| 363L00000X Nurse Practitioner (Licence: WA AP61204189) | |
| 363L00000X Nurse Practitioner (Licence: OR 10030731) | |
| Enumeration Date | 2015-10-05 |
| Last Update Date | 2024-09-09 |