| NPI | 1942670922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 8739-33) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP129190) |
| Enumeration Date | 2015-10-02 |
| Last Update Date | 2020-04-15 |