| NPI | 1336662097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1055654) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ TELE281283) |
| 363L00000X Nurse Practitioner (Licence: AL 3-001599) | |
| 363L00000X Nurse Practitioner (Licence: FL APRN11010126) | |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2024-05-06 |