| 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: OH APRN.CNP.0037847) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 241334) | |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2025-05-12 |