| NPI | 1356821748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP138274) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP138274) |
| 163W00000X Registered Nurse (Licence: TX 689261) | |
| 363L00000X Nurse Practitioner (Licence: LA 223811) | |
| 363L00000X Nurse Practitioner (Licence: IA A179673) | |
| 363L00000X Nurse Practitioner (Licence: OK 210792) | |
| 363L00000X Nurse Practitioner (Licence: IN 71016491A) | |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2026-03-19 |