| NPI | 1831354752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX 1115474) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: LA AP05544) |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2023-09-25 |