| NPI | 1356094049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1068116) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.032166) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL TPAN3077) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 10035805) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0101676-C-NP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95032025) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NM 81244) | |
| Enumeration Date | 2022-02-02 |
| Last Update Date | 2025-04-17 |