| NPI | 1659595742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 326445-4405) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ RN129295) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2023-11-27 |