| NPI | 1669981288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 11161) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP135122) |
| 163W00000X Registered Nurse (Licence: TX 808294) | |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2021-12-16 |