| NPI | 1083631428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 331969-4405) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: UT 983319694405) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2023-02-02 |