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 |