| NPI | 1699000570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 286131-4405) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 2861314405) |
| Enumeration Date | 2009-10-09 |
| Last Update Date | 2024-05-20 |