| NPI | 1053640615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9254403) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 824920) |
| Enumeration Date | 2009-12-10 |
| Last Update Date | 2022-05-11 |