| NPI | 1083108039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 1040937) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: HI APRN-2846) |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2022-01-12 |