| NPI | 1205506342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1031273) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 10014029) |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01142300) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 294678) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NV 868162) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP61455155) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95022846) | |
| Enumeration Date | 2021-09-20 |
| Last Update Date | 2023-09-20 |