| NPI | 1821024480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 10814308-4405) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 120828) |
| 363LF0000X Nurse Practitioner, Family (Licence: NV APRN002108) | |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2018-12-26 |