| NPI | 1588147946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-150366) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1112898) |
| 363L00000X Nurse Practitioner (Licence: TN 39935) | |
| 363L00000X Nurse Practitioner (Licence: FL APRN11025016) | |
| 363L00000X Nurse Practitioner (Licence: CO C-APN.0104398-C-NP) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2025-10-08 |