| NPI | 1811442890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 222207-4405) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 22207-4405) |
| Enumeration Date | 2016-08-19 |
| Last Update Date | 2023-01-11 |