| NPI | 1134549157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX AP127897) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TN 18514) |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2022-02-03 |