| NPI | 1073017927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 8157613-4405) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 8157613-3102) |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2018-06-06 |