| NPI | 1255870408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-149895) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11018035) |
| 363L00000X Nurse Practitioner (Licence: TN 32887) | |
| 363L00000X Nurse Practitioner (Licence: TX 1090200) | |
| 363L00000X Nurse Practitioner (Licence: CO C-APN.0003855-C-NP) | |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2024-05-08 |