| NPI | 1215483920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 100447) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 864242) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP131551) | |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2019-08-29 |