| NPI | 1649423237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MS 903935) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP127550) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2020-07-31 |