| NPI | 1184223562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 863057) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1004301) |
| Enumeration Date | 2020-10-18 |
| Last Update Date | 2024-06-10 |