| NPI | 1699251587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA 287975) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX AP138047) |
| Enumeration Date | 2018-07-14 |
| Last Update Date | 2019-11-14 |