| NPI | 1265096887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 60818) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 905324) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP140766) | |
| Enumeration Date | 2019-04-29 |
| Last Update Date | 2024-04-11 |