| NPI | 1992113930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP126028) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ TELE281883) |
| 363L00000X Nurse Practitioner (Licence: AL 3-001179) | |
| 363L00000X Nurse Practitioner (Licence: TN 33470) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0033719) | |
| 363L00000X Nurse Practitioner (Licence: FL APRN11019149) | |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2023-10-10 |