| NPI | 1083179030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 143903) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA 61225770) |
| 363L00000X Nurse Practitioner (Licence: FL RN3402842) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL RN3402842) | |
| Enumeration Date | 2019-02-04 |
| Last Update Date | 2023-07-28 |