| NPI | 1114628617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1170954) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 33190) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA 001707) | |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 27757) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 2484) | |
| Enumeration Date | 2023-03-13 |
| Last Update Date | 2025-01-24 |