| NPI | 1033565023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9497544) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP130834) |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2022-01-17 |