| NPI | 1700415080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 230388) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: TX 889673) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP145642) | |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2023-09-08 |