| NPI | 1336194877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5015144) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP126895) |
| 363LX0106X Nurse Practitioner, Occupational Health (Licence: NC 5015144) | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2021-10-20 |