| NPI | 1295289049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX 1143104) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TN 21337) |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2023-12-13 |