| NPI | 1174846349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 19339-4405) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: UT 193339-4405) |
| Enumeration Date | 2010-03-02 |
| Last Update Date | 2024-05-21 |