| NPI | 1548612435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: UT 8252293-4405) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: UT 8252293-8900) |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2021-10-21 |