| NPI | 1134856941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX 1088813) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1088813) |
| 363LF0000X Nurse Practitioner Family (Licence: TX 108813) | |
| Enumeration Date | 2022-08-02 |
| Last Update Date | 2023-05-01 |