| NPI | 1144507146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1124173) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AK 1240) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ AP7874) | |
| Enumeration Date | 2011-11-04 |
| Last Update Date | 2024-04-01 |