| NPI | 1043819394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1014973) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 354957) |
| 363LF0000X Nurse Practitioner, Family (Licence: MI 4704388781) | |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2024-10-29 |