| NPI | 1639843634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1011418) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 113875-23) |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2391688) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-08-03 |
| Last Update Date | 2025-03-31 |