| NPI | 1942627484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 12160799-4405) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 5723) |
| Enumeration Date | 2014-03-22 |
| Last Update Date | 2024-06-20 |