| NPI | 1881419877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 29706) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1178328) |
| Enumeration Date | 2024-11-15 |
| Last Update Date | 2024-12-12 |