| NPI | 1407256530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 725151) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 39452) |
| 363LF0000X Nurse Practitioner, Family (Licence: NM 84607) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL TPAN2429) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP61642283) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OK 221756) | |
| 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-5287) | |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2025-11-26 |