| NPI | 1194069591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP06884) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 823172) |
| Enumeration Date | 2012-11-26 |
| Last Update Date | 2024-05-31 |