| NPI | 1114467982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP133444) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95039437) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 11024250) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ14950000) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NM 74022) | |
| 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0012207) | |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP027422) | |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2026-05-27 |