| NPI | 1588951164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: UT 5163091-4405) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 5163091-4405) |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2022-03-25 |