| NPI | 1194378760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX 1120089) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MD R229213) |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2023-11-16 |