| NPI | 1689261679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1021680) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209030132) |
| 363L00000X Nurse Practitioner (Licence: TX 1021680) | |
| 363L00000X Nurse Practitioner (Licence: FL APRN11035264) | |
| 363LF0000X Nurse Practitioner, Family (Licence: ID 78791) | |
| 363L00000X Nurse Practitioner (Licence: VA 0024191331) | |
| Enumeration Date | 2020-12-24 |
| Last Update Date | 2024-10-28 |