| NPI | 1063814028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP124170) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A153867) |
| 363LF0000X Nurse Practitioner, Family (Licence: MI 4704348821) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11001511) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 019475) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 345309) | |
| Enumeration Date | 2014-09-22 |
| Last Update Date | 2024-10-28 |