| NPI | 1679657266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP112889) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO C-APN.0001536-C-NP) |
| 363L00000X Nurse Practitioner (Licence: AZ 228793) | |
| 363L00000X Nurse Practitioner (Licence: OR 201909520NP-PP) | |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2024-06-06 |