| NPI | 1174660971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 28273) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: TX 449811) |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 201504438NP-PP) | |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2021-02-21 |