| NPI | 1497237135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 8137497-4405) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NE 112585) |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2022-06-23 |