| NPI | 1790309573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OR 202010404NPPP) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP143914) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP143914) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 202010404NPPP) | |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2023-10-12 |