| NPI | 1144584228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 9098960-4405) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ID NP-1179A) |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2023-11-27 |