| NPI | 1851890693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 27509) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX AP136491) |
| Enumeration Date | 2018-02-07 |
| Last Update Date | 2022-09-01 |