| NPI | 1952689390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11023049) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN001807) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ AP5466) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH COA.12467-NP) | |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2024-05-23 |