| NPI | 1376856880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2010023609) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 806975) |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2017-03-09 |