| NPI | 1285679647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: UT 7844136-4405) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS R865919) |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2017-11-15 |