| NPI | 1114445988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SD CP001329) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 863069) |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2022-04-18 |