| NPI | 1265052146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP145888) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN 8137) |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 10086) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 273900) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95025595) | |
| Enumeration Date | 2020-04-21 |
| Last Update Date | 2024-06-10 |