NPI | 1184715674 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 797604) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11036402) |
363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0103926-C-NP) | |
363LF0000X Nurse Practitioner, Family (Licence: AZ 306194) | |
363LF0000X Nurse Practitioner, Family (Licence: OR 10042214) | |
Enumeration Date | 2006-09-27 |
Last Update Date | 2025-05-06 |