| NPI | 1982080453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP9390947) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: HI APRN-4364) |
| 363LF0000X Nurse Practitioner Family (Licence: PA SP024100) | |
| 363LF0000X Nurse Practitioner Family (Licence: WY 49728) | |
| 363LF0000X Nurse Practitioner Family (Licence: ND R52275) | |
| 363LF0000X Nurse Practitioner Family (Licence: KS 53-78941-051) | |
| 363LF0000X Nurse Practitioner Family (Licence: TX 1035172) | |
| 363LF0000X Nurse Practitioner Family (Licence: AR 124187) | |
| 363LF0000X Nurse Practitioner Family (Licence: IA A157847) | |
| 363LF0000X Nurse Practitioner Family (Licence: IL 277000613) | |
| Enumeration Date | 2015-08-06 |
| Last Update Date | 2024-02-29 |