| NPI | 1538761903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 214963) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN217088) |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 10899-33) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1158008) | |
| Enumeration Date | 2020-11-11 |
| Last Update Date | 2024-04-24 |