| NPI | 1265929889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 792368) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN230800) |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2023-06-14 |