| NPI | 1962925958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95006859) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 24179504) |
| 363LF0000X Nurse Practitioner, Family (Licence: UT 11775866-4405) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9312489) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1030449) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IA A159265) | |
| Enumeration Date | 2017-07-21 |
| Last Update Date | 2024-07-05 |