| NPI | 1134739139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1018633) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: TX 872858) |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2021-01-08 |