| NPI | 1780335273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX 1141791) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NY F349035) |
| Enumeration Date | 2022-01-16 |
| Last Update Date | 2023-12-11 |