| NPI | 1447709902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 373378-8900) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 373378-4405) |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2024-12-03 |