| NPI | 1497272025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 7669450-4405) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: UT 7669450-3102) |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2022-07-21 |