| NPI | 1932713419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 7409815-4405) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 7409815-8900) |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2020-09-02 |