| NPI | 1922623578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD AC005646) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-2880) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1030660) | |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2024-06-14 |