| NPI | 1326358425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1097258) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 305411) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11023777) | |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP027545) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 0034101) | |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2023-10-06 |