| NPI | 1912665126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1132555) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 28433A) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 35534) | |
| 363LF0000X Nurse Practitioner, Family (Licence: GA 002267) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024183154) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5019643) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 11032541) | |
| Enumeration Date | 2021-12-05 |
| Last Update Date | 2025-12-30 |