| NPI | 1518303932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MT NUR-APRN-LIC-177074) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 834887) |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2022-02-08 |