| NPI | 1871199026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: UT 10484809-4405) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD R235108) |
| Enumeration Date | 2020-12-11 |
| Last Update Date | 2024-04-08 |