| NPI | 1376979427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP128055) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704304401) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00457300) | |
| Enumeration Date | 2013-09-20 |
| Last Update Date | 2019-07-02 |