| NPI | 1881283984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 8895885-4405) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT F10201225) |
| 363LF0000X Nurse Practitioner, Family (Licence: UT 8895885-4405) | |
| Enumeration Date | 2021-01-13 |
| Last Update Date | 2024-02-26 |