| NPI | 1124126669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 625669) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 625669) |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2021008258) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP30005830) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2023-05-16 |