| NPI | 1326578725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN22416) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP134132) |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2022-06-27 |