| NPI | 1134717762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1020164) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: TX 1021064) |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 10013536) | |
| Enumeration Date | 2021-01-08 |
| Last Update Date | 2023-09-13 |