| NPI | 1497145429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP127276) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 283324) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95021664) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 12671) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL TPAN814) | |
| 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP001097) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 345264) | |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2024-03-05 |