| NPI | 1144870866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MT NUR-APRN-LIC-193378) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 8638762-4405) |
| Enumeration Date | 2019-09-14 |
| Last Update Date | 2022-10-06 |