| NPI | 1598311896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5018444) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE LG-0001304) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1123557) | |
| Enumeration Date | 2019-08-13 |
| Last Update Date | 2023-11-16 |