| NPI | 1255953980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX F01201379) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 907105) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11035496) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 0037555) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0102785-C-NP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-4958) | |
| Enumeration Date | 2020-05-15 |
| Last Update Date | 2024-12-18 |