NPI | 1982216594 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 288970) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO C-RXN.0102706-C-NP) |
363L00000X Nurse Practitioner (Licence: OR 10050889) | |
363L00000X Nurse Practitioner (Licence: AL 3-002559) | |
363L00000X Nurse Practitioner (Licence: TX 1195484) | |
363L00000X Nurse Practitioner (Licence: HI APRN-5024) | |
Enumeration Date | 2020-08-17 |
Last Update Date | 2025-09-25 |