| NPI | 1821597634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: DC RN1058058) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX AP136363) |
| Enumeration Date | 2018-02-07 |
| Last Update Date | 2020-07-10 |