| NPI | 1922501139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9406769) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP138381) |
| 363LF0000X Nurse Practitioner, Family (Licence: UT 11377393-4405) | |
| 363LF0000X Nurse Practitioner, Family (Licence: UT 11377393-8900) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NV APRN002943) | |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2022-10-06 |