| NPI | 1013330984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP138373) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9262626) |
| 363L00000X Nurse Practitioner (Licence: IL 209015377) | |
| Enumeration Date | 2014-01-29 |
| Last Update Date | 2024-03-06 |