| NPI | 1427613892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ AP225407) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1057086) |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2022-01-04 |