| NPI | 1144593138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1031809) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 201800203NP-PP) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN229054) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 16893) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AR A003791) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 1-116555) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2024-05-29 |