| NPI | 1811436744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 21990) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM 55181) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 342193) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0001213-C) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MS 903290) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP133236) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95005888) | |
| Enumeration Date | 2017-02-12 |
| Last Update Date | 2022-10-25 |