| NPI | 1609451830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1077116) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 10038273) |
| 363L00000X Nurse Practitioner (Licence: CO C-APN.0103671-C-NP) | |
| Enumeration Date | 2021-03-09 |
| Last Update Date | 2025-02-13 |