| NPI | 1750984886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX 1099795) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA 202488) |
| 363LF0000X Nurse Practitioner Family (Licence: LA 202488) | |
| Enumeration Date | 2020-11-20 |
| Last Update Date | 2024-06-11 |