| NPI | 1306392097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 1032432) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CO C-APN.0002517-C-NP) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: GA GAA-NP001158) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: FL TPAN1084) | |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2024-02-02 |