| NPI | 1144994344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 10858695-4405) |
| Additional Taxonomies | 103TP0016X Psychologist, Prescribing (Medical) |
| Enumeration Date | 2021-08-03 |
| Last Update Date | 2024-02-21 |