| NPI | 1578115903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: UT 5643351-4405) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 5643351-3102) |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2020-12-21 |