| NPI | 1003640350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA 237009) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1173213) |
| Enumeration Date | 2024-08-29 |
| Last Update Date | 2024-11-08 |