| NPI | 1871306621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 4996409-4405) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 4996409-8900) |
| Enumeration Date | 2025-01-27 |
| Last Update Date | 2025-01-27 |