| NPI | 1326352840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 13280360-4405) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ND R35043) |
| 363LF0000X Nurse Practitioner, Family (Licence: MN R168818-8) | |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2023-06-16 |