| NPI | 1295222024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP136280) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 12402) |
| 363L00000X Nurse Practitioner (Licence: NV 858976) | |
| 363L00000X Nurse Practitioner (Licence: FL TPAN1890) | |
| 363L00000X Nurse Practitioner (Licence: AL 3-001395) | |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2023-11-03 |