| NPI | 1417488255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP133187) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM 63518) |
| 163WL0100X Registered Nurse, Lactation Consultant (Licence: TX 10725811) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MD AC003690) | |
| 363LF0000X Nurse Practitioner, Family (Licence: ID 68047) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NE 113574) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 11013262) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IA A162163) | |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2022-01-05 |