| NPI | 1841802634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 201825-4405) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 201825-8900) |
| Enumeration Date | 2020-08-21 |
| Last Update Date | 2020-09-16 |