| NPI | 1326528779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 8152168-4405) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ID 5761373) |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2024-12-02 |