| NPI | 1174060792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1073619) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 75360) |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 10012646) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NM 67255) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 282797) | |
| Enumeration Date | 2017-01-20 |
| Last Update Date | 2025-05-22 |