| NPI | 1265903777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 26881) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX AP139882) |
| Enumeration Date | 2018-12-10 |
| Last Update Date | 2020-04-16 |