| NPI | 1124682877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 902786) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP141508) |
| Enumeration Date | 2019-04-29 |
| Last Update Date | 2024-06-26 |