| NPI | 1922435031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: UT 6469025-4405) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 6469025-3102) |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2020-07-14 |