| NPI | 1144792474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 10380647-4405) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: UT 103806472205) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: WY 24957.1819) | |
| Enumeration Date | 2018-12-27 |
| Last Update Date | 2023-06-01 |