| NPI | 1740046077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1187990) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2024007853) |
| 363L00000X Nurse Practitioner (Licence: KS 53-82956) | |
| Enumeration Date | 2024-02-23 |
| Last Update Date | 2025-10-17 |