| NPI | 1043465966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 3085392-4405) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: UT 3085392-4405) |
| Enumeration Date | 2008-11-19 |
| Last Update Date | 2020-09-25 |