| NPI | 1194122788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 5303618-4405) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: UT 53036184405) |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2019-05-14 |