| NPI | 1114326741 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP125856)  | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704318399)  | 
| 363LF0000X Nurse Practitioner, Family (Licence: ID 71754)  | |
| 363LF0000X Nurse Practitioner, Family (Licence: NE 114114)  | |
| 363LF0000X Nurse Practitioner, Family (Licence: NV 851848)  | |
| 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0003849)  | |
| 363LF0000X Nurse Practitioner, Family (Licence: LA AP08765)  | |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 3-002185)  | |
| 363LF0000X Nurse Practitioner, Family (Licence: AR A005598)  | |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71012433A)  | |
| 363LF0000X Nurse Practitioner, Family (Licence: IA A168031)  | |
| 363LF0000X Nurse Practitioner, Family (Licence: WY 49424)  | |
| Enumeration Date | 2014-08-20 | 
| Last Update Date | 2025-10-31 |