| NPI | 1043817026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX 627780) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1011140) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: TX 1011140) | |
| Enumeration Date | 2020-10-03 |
| Last Update Date | 2024-03-25 |