| NPI | 1376114801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 64539) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1046806) |
| Enumeration Date | 2021-07-06 |
| Last Update Date | 2024-01-05 |