| NPI | 1184122145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX AP136689) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX 821209) |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2021-08-03 |