| NPI | 1477792802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CO 5957) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CO RN-168708) |
| 363LF0000X Nurse Practitioner Family (Licence: TN 27334) | |
| 363LF0000X Nurse Practitioner Family (Licence: TX 2397) | |
| Enumeration Date | 2009-02-09 |
| Last Update Date | 2023-08-25 |