| 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: TX 32457) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11034547) | |
| 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 | 2024-09-03 |