| NPI | 1235740259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 24174) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5018059) |
| 363L00000X Nurse Practitioner (Licence: TX 1156049) | |
| 363L00000X Nurse Practitioner (Licence: TN 33108) | |
| 363L00000X Nurse Practitioner (Licence: FL APRN11021729) | |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2024-04-30 |