| NPI | 1013506203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-151404) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1071656) |
| Enumeration Date | 2021-01-13 |
| Last Update Date | 2022-06-17 |