| NPI | 1326437484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F338674-1) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP126488) |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2019-03-20 |