| NPI | 1629564380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11024836) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NE 112531) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 73684) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 315901) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1168639) | |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2024-11-26 |