| NPI | 1073008280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP09935) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP145700) |
| Enumeration Date | 2018-06-29 |
| Last Update Date | 2023-06-22 |