| NPI | 1699357442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX 1051470) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: TX 923964) |
| 207Q00000X Family Medicine (Licence: TX 1051470) | |
| Enumeration Date | 2021-04-21 |
| Last Update Date | 2021-09-02 |