| NPI | 1295047819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 721021) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 250831) | |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2023-03-29 |