| NPI | 1093188211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 5924233-4405) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 5924233-8900) |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2021-12-20 |