| NPI | 1629283239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP127974) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: RI NPP27197) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2022-07-27 |