| NPI | 1972548972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NV 842090) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71000253A) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: AZ AP3290) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 28107612A) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NV 842090) | |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2024-01-20 |