| NPI | 1255760773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 7343792-4405) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: UT 7343792-4405) |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2023-11-27 |