| NPI | 1730839473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1099323) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.024884) |
| Enumeration Date | 2022-03-25 |
| Last Update Date | 2023-08-10 |