| NPI | 1568868271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1089754) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA 95003907) |
| 363LF0000X Nurse Practitioner Family (Licence: FL ARNP9277417) | |
| Enumeration Date | 2014-11-06 |
| Last Update Date | 2023-07-05 |