| NPI | 1235645250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP134410) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 0041379) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA 21380594) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NM 53533) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11041684) | |
| Enumeration Date | 2017-12-28 |
| Last Update Date | 2026-02-10 |