| NPI | 1861028771 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP143993) | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11034547) | 
| 363LF0000X Nurse Practitioner, Family (Licence: TX 32457) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71015671A) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2024032091) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 0036655) | |
| Enumeration Date | 2020-03-23 | 
| Last Update Date | 2025-05-29 |