| NPI | 1104393347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1070309) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AK 139813) |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2022-10-24 |