| NPI | 1700079811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 202059) |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: TX 630803) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1028600) | |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2023-08-01 |