| NPI | 1679108187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1007547) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000027116) |
| 363LF0000X Nurse Practitioner, Family (Licence: MI 4704431610) | |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP033528) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0039762) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2025029423) | |
| Enumeration Date | 2020-03-04 |
| Last Update Date | 2025-10-23 |