| NPI | 1598492704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 6083030-4405) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: UT 6083030-3102) |
| Enumeration Date | 2022-08-07 |
| Last Update Date | 2022-08-22 |