| NPI | 1346799921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 7672353-8900) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: UT 7672353-4405) |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2021-10-16 |