| NPI | 1932577749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 10502230-4405) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-132602) |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2025-02-12 |