| NPI | 1285214205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 10216868-4405) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: UT 10216868-4405) |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2024-04-22 |