| NPI | 1689026908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 1034420) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95004499) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 308280) | |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2024-04-30 |