| 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: TN 36824) |
| 363LF0000X Nurse Practitioner, Family (Licence: AK 139813) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IA A181005) | |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2024-10-02 |