| NPI | 1962959007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP131887) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 10039404) |
| 363L00000X Nurse Practitioner (Licence: AZ 289426) | |
| 363L00000X Nurse Practitioner (Licence: FL APRN11027063) | |
| 363L00000X Nurse Practitioner (Licence: AR 231946) | |
| 363L00000X Nurse Practitioner (Licence: CO C-APN.0102090-C-NP) | |
| 363L00000X Nurse Practitioner (Licence: MS 907386) | |
| 363L00000X Nurse Practitioner (Licence: IL 209032131) | |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2025-05-14 |