| NPI | 1003483207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 10122671-4405) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: UT 10122671-4405) |
| Enumeration Date | 2021-06-07 |
| Last Update Date | 2024-07-30 |