| NPI | 1245540137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP115646) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2025049885) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 0040582) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 628756) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MI 4704434851) | |
| Enumeration Date | 2010-10-14 |
| Last Update Date | 2025-12-15 |