| NPI | 1831558204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 6078476-4405) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: UT 6078476-4405) |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2021-08-02 |