| NPI | 1942275581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 91423) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 9235876) |
| 363L00000X Nurse Practitioner (Licence: TX 1044201) | |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2023-08-08 |