| NPI | 1659553402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 5690870-4405) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV APN000980) |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2022-07-21 |