| NPI | 1568651024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2021035610) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP120816) |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2024-05-08 |