| NPI | 1164933883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP09975) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: LA AP09975) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP1355205) | |
| Enumeration Date | 2017-10-20 |
| Last Update Date | 2024-03-22 |