| NPI | 1215337605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP126141) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA 246307) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71017764A) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AR 236517) | |
| 207Q00000X Family Medicine (Licence: TX AP126141) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NE 116872) | |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2026-05-14 |