| NPI | 1588136063 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP138306)  | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 758226)  | 
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 223784)  | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP61381645)  | |
| 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0100163-C-NP)  | |
| Enumeration Date | 2018-12-21 | 
| Last Update Date | 2025-06-04 |