| NPI | 1821472648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP128233) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 266180) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5019673) | |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 28513) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 0030338) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 33702) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11012939) | |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2024-04-30 |