| NPI | 1518365600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP128775) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO C-APN.0100156-C-NP) |
| 363L00000X Nurse Practitioner (Licence: NY 311041) | |
| 363L00000X Nurse Practitioner (Licence: DE LP-0010609) | |
| 363L00000X Nurse Practitioner (Licence: FL TPAN578) | |
| 363L00000X Nurse Practitioner (Licence: KY 4001538) | |
| 363L00000X Nurse Practitioner (Licence: NJ 4001538) | |
| 363L00000X Nurse Practitioner (Licence: TN 19280) | |
| Enumeration Date | 2014-12-05 |
| Last Update Date | 2023-05-30 |