| NPI | 1346849338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX 1000171) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 814039) |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2021-06-23 |