| NPI | 1962763151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP129755) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0103410-C-NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 241334) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209034293) | |
| 363LF0000X Nurse Practitioner, Family (Licence: LA 245281) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0037847) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 4051241) | |
| 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP004508) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IA A188597) | |
| 363LF0000X Nurse Practitioner, Family (Licence: UT 14264992-4405) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MS 880212) | |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2026-02-18 |