| NPI | 1245683747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1113884) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 1113884) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 24173925) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2348751) | |
| 363LF0000X Nurse Practitioner, Family (Licence: RI APRN02359) | |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2023-10-04 |