| NPI | 1770531287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX 234002) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: TX 234002) |
| 363LW0102X Nurse Practitioner Women's Health (Licence: TX 234002) | |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2024-04-12 |