| 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 |