| NPI | 1225798309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1124633) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR17338300) |
| 163W00000X Registered Nurse (Licence: TX 1124633) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01209300) | |
| Enumeration Date | 2021-12-30 |
| Last Update Date | 2024-06-03 |