| NPI | 1639590623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP124820) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 11313658-4405) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60848355) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AR 218749) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0001273-C-NP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OK 201008) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 201802582NP-PP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ AP11536) | |
| Enumeration Date | 2013-12-18 |
| Last Update Date | 2026-03-02 |