| NPI | 1578114617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM 83815) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO C-APN.0104088-C-NP) |
| 363L00000X Nurse Practitioner (Licence: OK 215232) | |
| 363L00000X Nurse Practitioner (Licence: TX AP143108) | |
| Enumeration Date | 2019-09-20 |
| Last Update Date | 2025-07-24 |