| NPI | 1043396344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP115627) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704158501) |
| 363LF0000X Nurse Practitioner, Family (Licence: NV APRN001909) | |
| Enumeration Date | 2006-10-29 |
| Last Update Date | 2020-04-24 |