| NPI | 1306341250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 2018002325) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA 2018002325) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA 2018002325) | |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2018-03-23 |