| NPI | 1689055170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP127856) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ14932700) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 352524) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95023824) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11009041) | |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2025-10-10 |