| NPI | 1023890563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1130696) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: TX 1130696) |
| Enumeration Date | 2023-10-19 |
| Last Update Date | 2025-04-23 |