| NPI | 1033441993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 1128432) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP010700) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 307154) | |
| Enumeration Date | 2010-02-03 |
| Last Update Date | 2024-04-16 |