| NPI | 1205358348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX 1001196) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TN 22806) |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2022-11-30 |