| NPI | 1235100934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO SNP 100045) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 759577) |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2022-01-10 |