| NPI | 1972062248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 9260) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5013638) |
| 363L00000X Nurse Practitioner (Licence: FL APRN11009914) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CO 0994552) | |
| 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0027910) | |
| 363L00000X Nurse Practitioner (Licence: TN 28477) | |
| 363L00000X Nurse Practitioner (Licence: CO APN.0994552-NP) | |
| Enumeration Date | 2019-03-17 |
| Last Update Date | 2021-02-18 |