| NPI | 1144740267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1168242) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 69381) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3018005) | |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2024-10-03 |