| NPI | 1699244186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 6092) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP136511) |
| Enumeration Date | 2018-11-14 |
| Last Update Date | 2021-10-13 |