| NPI | 1962836064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1017556) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA ap61051011) |
| 363LF0000X Nurse Practitioner, Family (Licence: AK 168178) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MT 172440) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 23490) | |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2024-01-05 |