| NPI | 1669059069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 27933) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX 940834) |
| Enumeration Date | 2021-03-24 |
| Last Update Date | 2021-03-24 |