| NPI | 1891488706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 92574894405) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 9257489) |
| Enumeration Date | 2023-05-29 |
| Last Update Date | 2023-05-29 |