| NPI | 1083086680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1033570) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP7845) |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2024-06-18 |