| NPI | 1063878189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 800843) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP028307) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD AC004392) | |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2024-03-07 |