| NPI | 1093546756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5020883) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1155658) |
| Enumeration Date | 2024-08-13 |
| Last Update Date | 2025-01-06 |