| NPI | 1770982076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5022202) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9206408) |
| 363L00000X Nurse Practitioner (Licence: TX 1202400) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN9206408) | |
| Enumeration Date | 2014-08-22 |
| Last Update Date | 2025-07-23 |