| NPI | 1215448261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024175517) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP031875) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1138303) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95035048) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 11013294) | |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2026-01-07 |