| NPI | 1285982173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5005779) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5005779) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 724114) | |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2019-09-25 |