| NPI | 1114373438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-02944) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 812310) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX F0316306) | |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2020-03-18 |