| NPI | 1932447364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9256671) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN0001343) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD AC002394) | |
| 363LF0000X Nurse Practitioner, Family (Licence: DC 1050853) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IA A151501) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MI 4704344965) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 141145) | |
| 363LF0000X Nurse Practitioner, Family (Licence: ID 60236) | |
| Enumeration Date | 2013-01-18 |
| Last Update Date | 2019-07-15 |