| NPI | 1952330888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NV APRN002753) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: UT 12991745-4005) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: CO APN0999508) | |
| 363LA2200X Nurse Practitioner Adult Health (Licence: WY 50485) | |
| 363LA2200X Nurse Practitioner Adult Health (Licence: ID 73516) | |
| 363LA2200X Nurse Practitioner Adult Health (Licence: WA AP30006764) | |
| 363LA2200X Nurse Practitioner Adult Health (Licence: AK 198458) | |
| 363LA2200X Nurse Practitioner Adult Health (Licence: CA 95026454) | |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2024-03-07 |