| NPI | 1386691434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 339766-4405) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: UT 00339766-4405) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2018-03-17 |