| NPI | 1023089190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 123643) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP1342) |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2023013501) | |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2024-04-18 |