| NPI | 1487151452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP137018) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NV 859505) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: AZ 272371) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NM 69618) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: KS 81513) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NY 350694) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 11016221) | |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2024-09-18 |