| NPI | 1437773751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 10877623-4405) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: UT 108776233102) |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2021-11-17 |