| NPI | 1336859024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 288865) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1097938) |
| Enumeration Date | 2022-12-02 |
| Last Update Date | 2023-05-08 |