| NPI | 1245714955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP09871) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP138686) |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2024-01-16 |