| NPI | 1528589579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: UT 5319391-4405) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: UT 5319391-4405) |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2021-11-11 |