| NPI | 1770156051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX 1059911) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AK 194073) |
| Enumeration Date | 2021-07-23 |
| Last Update Date | 2023-07-20 |