| NPI | 1801570080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 11103162-4405) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: UT 11103162-4405) |
| Enumeration Date | 2023-06-09 |
| Last Update Date | 2024-07-09 |