| NPI | 1235767732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1140666) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: TX 990961) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 1140666) | |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2024-01-02 |