| NPI | 1598330409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11019271) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1040337) |
| Enumeration Date | 2021-05-24 |
| Last Update Date | 2024-02-08 |