| NPI | 1134612708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11012598) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 868910) |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2024-07-17 |