| NPI | 1033709415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX 1029549) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX F01210849) |
| Enumeration Date | 2021-01-20 |
| Last Update Date | 2023-08-24 |