| NPI | 1104393347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1070309) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 4024778) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 277.003675) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AK 139813) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71015800A) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OK 219709) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 53-83438-032) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 36824) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IA A181005) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0102641-C-NP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AR 230389) | |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2025-06-16 |