| NPI | 1376877381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2020024188) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 732590) |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2021-10-19 |