| NPI | 1417433087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP137063) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP221179) |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2024-11-14 |