| NPI | 1699217232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV 813367) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NV 813367) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP132444) | |
| Enumeration Date | 2016-11-14 |
| Last Update Date | 2021-12-22 |