| NPI | 1013562685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP141132) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP141132) |
| 363LF0000X Nurse Practitioner, Family (Licence: ME CNP211033) | |
| Enumeration Date | 2019-08-09 |
| Last Update Date | 2021-08-26 |