| NPI | 1669537189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP133836) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704173362) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 796048) | |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2023-01-10 |