| NPI | 1942831268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 202008296NP-PP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ 249032) |
| 363L00000X Nurse Practitioner (Licence: WY 46502) | |
| 363L00000X Nurse Practitioner (Licence: WA AP61102693) | |
| 363L00000X Nurse Practitioner (Licence: TX 1010231) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1010231) | |
| Enumeration Date | 2020-01-27 |
| Last Update Date | 2023-12-20 |