| NPI | 1306577226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX 1023897) |
| Additional Taxonomies | 163WM0705X Registered Nurse Medical-Surgical (Licence: TX 4704325738) |
| 163WM0705X Registered Nurse Medical-Surgical (Licence: MI 4704325738) | |
| Enumeration Date | 2022-06-21 |
| Last Update Date | 2024-08-08 |