| NPI | 1962038943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 903920) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD AC006082) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000027143) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1127679) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 10013047) | |
| 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP001916) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95029054) | |
| Enumeration Date | 2020-03-21 |
| Last Update Date | 2024-03-27 |