| NPI | 1073804472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11008248) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 836779) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71003584) | |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2022-05-04 |