| NPI | 1366636060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP05299) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 828147) |
| 363LF0000X Nurse Practitioner, Family (Licence: MS R878132) | |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2022-12-05 |