| NPI | 1619458387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX AP138205) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL APRN11032064) |
| 363LF0000X Nurse Practitioner Family (Licence: CO C-RXN.0101368-C-NP) | |
| 363LF0000X Nurse Practitioner Family (Licence: IA A178844) | |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2024-12-02 |