| NPI | 1134690464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 204053) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 884978) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1035437) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NM 63902) | |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2021-08-10 |