| NPI | 1033735014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 821860) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1069876) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 1069876) | |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2023-10-14 |