| NPI | 1851988604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP1017566) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2026003639) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP70002806) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 53-85356-092) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 10043152) | |
| 163W00000X Registered Nurse (Licence: OR 10043152) | |
| 163W00000X Registered Nurse (Licence: TX 812095) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 334943) | |
| Enumeration Date | 2020-12-28 |
| Last Update Date | 2026-05-20 |