| NPI | 1881294106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1018057) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5020218) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO 103343) | |
| 363LF0000X Nurse Practitioner, Family (Licence: ME CNP251036) | |
| 363LF0000X Nurse Practitioner, Family (Licence: UT 14205142-4405) | |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2025-04-21 |