| NPI | 1144980848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 35837) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1058454) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA 2371) | |
| Enumeration Date | 2021-12-21 |
| Last Update Date | 2024-07-03 |