| NPI | 1285973883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD AC004896) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP122812) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 776541) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11007411) | |
| Enumeration Date | 2013-02-04 |
| Last Update Date | 2023-01-04 |