| NPI | 1205433794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11033027) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 991233) |
| 363L00000X Nurse Practitioner (Licence: FL APRN11033027) | |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2024-11-15 |