| NPI | 1801804430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 10024068) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 614758) |
| 363L00000X Nurse Practitioner (Licence: NM 67918) | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2024-08-01 |