| NPI | 1902405798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP145445) |
| Additional Taxonomies | 364SX0200X Clinical Nurse Specialist, Oncology (Licence: TX AP145445) |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2025-06-20 |