| NPI | 1003334798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP135616) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL F09170074) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000026267) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5010441) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 14149958022) | |
| Enumeration Date | 2017-09-01 |
| Last Update Date | 2023-04-24 |