| NPI | 1053781310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9279303) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 28079) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1111711) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 35911) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 3-001654) | |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2024-06-04 |