| NPI | 1538141221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 35835) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: LA 53135-1214) |
| 363LF0000X Nurse Practitioner, Family (Licence: AR A002938) | |
| 363LF0000X Nurse Practitioner, Family (Licence: LA APO1214) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NM CNP02366) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: LA APO1214) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: LA APO1214) | |
| 363L00000X Nurse Practitioner (Licence: TX AP145992) | |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2024-04-17 |