| NPI | 1346598026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000016668.) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP127171) |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2023-08-28 |