| NPI | 1710412846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 6209622-4405) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: UT 6209622-4405) |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2023-08-23 |