| NPI | 1134498314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 11729257-4405) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NH 073185-23) |
| Enumeration Date | 2011-12-18 |
| Last Update Date | 2023-06-01 |