| NPI | 1356310924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 547245) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO 5515) |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2023-08-16 |