| NPI | 1407621550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX ap144749) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95023667) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: IL 209.018212) | |
| Enumeration Date | 2023-11-20 |
| Last Update Date | 2023-11-20 |