| NPI | 1689482895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MS 917609) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1244186) |
| 363L00000X Nurse Practitioner (Licence: NM 91498) | |
| 363L00000X Nurse Practitioner (Licence: CO 0107568) | |
| 363L00000X Nurse Practitioner (Licence: LA 248660) | |
| Enumeration Date | 2024-12-19 |
| Last Update Date | 2026-08-25 |