| NPI | 1508019308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2020010589) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 20736) |
| 163W00000X Registered Nurse (Licence: TX 835491) | |
| 363L00000X Nurse Practitioner (Licence: TX 835491) | |
| Enumeration Date | 2008-10-24 |
| Last Update Date | 2024-02-27 |