| NPI | 1417488255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 26908) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ID 68047) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO 0102781) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NM 63518) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NE 113574) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 11013262) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IA A162163) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP133187) | |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2025-04-08 |