| NPI | 1730676131 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1163567) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28184585A) | 
| 363LA2100X Nurse Practitioner, Acute Care (Licence: OR NP10013895) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IN F03180473) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71007962A) | |
| Enumeration Date | 2018-04-20 | 
| Last Update Date | 2024-10-18 |