| NPI | 1942740584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP133251) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MT APRN-268173) |
| 207Q00000X Family Medicine (Licence: HI APRN-5110) | |
| 207Q00000X Family Medicine (Licence: OR 10051021) | |
| 207Q00000X Family Medicine (Licence: AK 234571) | |
| 207Q00000X Family Medicine (Licence: MO 2025010760) | |
| 207Q00000X Family Medicine (Licence: CA 95022857) | |
| 207Q00000X Family Medicine (Licence: WA AP70032116) | |
| 207Q00000X Family Medicine (Licence: UT 142085084405) | |
| 207Q00000X Family Medicine (Licence: AZ 279236) | |
| 207Q00000X Family Medicine (Licence: NM 56611) | |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2025-10-10 |