| NPI | 1134548472 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F306858) | 
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP131866) | 
| Enumeration Date | 2014-04-15 | 
| Last Update Date | 2021-11-10 |