| NPI | 1720197544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP113735) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 10013420) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0103597-C-NP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ TELE326503) | |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2025-07-07 |