| NPI | 1285138610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL APRN11012300) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 934269) |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2023-06-21 |