| NPI | 1174097299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 251994) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11038318) |
| 363L00000X Nurse Practitioner (Licence: NM 82768) | |
| 363L00000X Nurse Practitioner (Licence: OR 10049239) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP140056) | |
| Enumeration Date | 2019-01-11 |
| Last Update Date | 2025-09-02 |