| NPI | 1437632619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 202006642NP-PP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP138634) |
| Enumeration Date | 2018-09-13 |
| Last Update Date | 2020-10-17 |