| NPI | 1457994089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 5648785-4405) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: UT 5648785-4405) |
| Enumeration Date | 2019-10-27 |
| Last Update Date | 2022-02-09 |