| NPI | 1821005968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP5734) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 761981) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 9332948) | |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP010856) | |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2022-07-15 |