| NPI | 1588034151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 7244) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP128688) |
| Enumeration Date | 2015-09-25 |
| Last Update Date | 2021-03-24 |