| NPI | 1477161453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 202107795NP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP132777) |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2022-03-21 |