| NPI | 1023670544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP142120) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209036381) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71018698A) | |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 32586) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5025487) | |
| Enumeration Date | 2019-07-04 |
| Last Update Date | 2026-09-23 |