| NPI | 1619511698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1084195) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041463017) |
| 208000000X Pediatrics (Licence: TX 1084195) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95018662) | |
| Enumeration Date | 2019-11-01 |
| Last Update Date | 2023-03-30 |