| NPI | 1891168258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP134398) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00566400) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP61206545) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 202104356NP-PP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95018309) | |
| Enumeration Date | 2015-11-06 |
| Last Update Date | 2023-06-22 |