| NPI | 1356918387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 10406372-4405) |
| Additional Taxonomies | 363LS0200X Nurse Practitioner, School (Licence: UT 10406372-3102) |
| Enumeration Date | 2021-06-08 |
| Last Update Date | 2022-12-12 |