| NPI | 1508372400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP135610) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 53-84602-062) |
| 207Q00000X Family Medicine (Licence: KY 4043125) | |
| 207Q00000X Family Medicine (Licence: FL APRN11039800) | |
| 207Q00000X Family Medicine (Licence: MA APRN10005260) | |
| 363L00000X Nurse Practitioner (Licence: TX AP135610) | |
| Enumeration Date | 2017-12-14 |
| Last Update Date | 2025-11-04 |