| NPI | 1912480567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: UT 348597-4405) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: UT 348597-4405) |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2024-06-20 |