| NPI | 1043097850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1046194) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: TX 1046194) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1046194) | |
| Enumeration Date | 2023-09-14 |
| Last Update Date | 2025-04-03 |