| NPI | 1912342114 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP123667) | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0100740-C-NP) | 
| 363LF0000X Nurse Practitioner, Family (Licence: TX 812034) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 293222) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP61439559) | |
| Enumeration Date | 2013-05-02 | 
| Last Update Date | 2025-04-18 |