| NPI | 1932458908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP122067) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0040090) |
| 363L00000X Nurse Practitioner (Licence: FL APRN11042324) | |
| 163W00000X Registered Nurse (Licence: TX 646772) | |
| 363L00000X Nurse Practitioner (Licence: TN 38363) | |
| 363L00000X Nurse Practitioner (Licence: MO 2025040142) | |
| 363L00000X Nurse Practitioner (Licence: AL 3-002206) | |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2025-09-26 |