| NPI | 1841942182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 223858) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1141246) |
| Enumeration Date | 2022-01-18 |
| Last Update Date | 2024-12-02 |