| NPI | 1972183895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1088609) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO C-RXN.0102812-C-NP) |
| 363L00000X Nurse Practitioner (Licence: CA 95035237) | |
| 163W00000X Registered Nurse (Licence: TX 797416) | |
| 363L00000X Nurse Practitioner (Licence: FL 11024997) | |
| 163W00000X Registered Nurse (Licence: CA 95419624) | |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2025-09-10 |