| NPI | 1194377358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP143130) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: IA A176787) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO C-RXN.0002516-C-NP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NM 76144) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP61509255) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0004118-C-NP) | |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2024-01-29 |