| NPI | 1881692473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A138274) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9197564) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9197564) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: FL ARNP9197564) | |
| 363L00000X Nurse Practitioner (Licence: NE 110924) | |
| 363LF0000X Nurse Practitioner, Family (Licence: PA TP000625B) | |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2015-08-03 |