| NPI | 1831896802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1110542) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MT APRN-243611) |
| 363LF0000X Nurse Practitioner, Family (Licence: AR 228719) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 0036408) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NV 882845) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OK 218140) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71015422a) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 329566) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ15261900) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11034103) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 10033232) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 53-83344-042) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2024013360) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 3-002045) | |
| Enumeration Date | 2023-02-10 |
| Last Update Date | 2025-10-18 |