| NPI | 1518247758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 13327156-4405) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NM CNP-01828) |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2023-05-24 |