| NPI | 1588106405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CO 0001589) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 793011) |
| 363LF0000X Nurse Practitioner Family (Licence: TX AP132044) | |
| Enumeration Date | 2016-11-09 |
| Last Update Date | 2023-12-19 |