| NPI | 1598312753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 4780068-4405) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 4780068-8900) |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2023-05-10 |