| NPI | 1164446571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP 2208442) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1123902) |
| 363L00000X Nurse Practitioner (Licence: TN 36844) | |
| 363L00000X Nurse Practitioner (Licence: AL 3-001639) | |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2025-01-03 |