| NPI | 1811409774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 76405953102) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT F09170522) |
| Enumeration Date | 2017-11-01 |
| Last Update Date | 2024-02-27 |