| NPI | 1548924962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1057300) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA AP70027976) |
| 207Q00000X Family Medicine (Licence: CO C-APN.0104198-C-NP) | |
| 207Q00000X Family Medicine (Licence: DE LG-0013350) | |
| 207Q00000X Family Medicine (Licence: OK 224706) | |
| 207Q00000X Family Medicine (Licence: AR 232750) | |
| 207Q00000X Family Medicine (Licence: TX 1057300) | |
| Enumeration Date | 2021-10-22 |
| Last Update Date | 2025-10-11 |