| NPI | 1639709413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: TX 1011302) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: MN R2296388) |
| 363L00000X Nurse Practitioner (Licence: TX 1011302) | |
| Enumeration Date | 2020-01-22 |
| Last Update Date | 2024-09-24 |