| NPI | 1649871526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX 1030956) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 537496) |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2022-12-15 |