| NPI | 1437191434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024186434) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 506604) |
| 363L00000X Nurse Practitioner (Licence: TX AP108704) | |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2023-08-23 |