| NPI | 1770281016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX 1110862) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NC 5020824) |
| 363LF0000X Nurse Practitioner Family (Licence: TN 36864) | |
| 363LF0000X Nurse Practitioner Family (Licence: VA 0024190959) | |
| 363LF0000X Nurse Practitioner Family (Licence: KY 4025055) | |
| Enumeration Date | 2023-02-16 |
| Last Update Date | 2024-10-09 |