| NPI | 1346777380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP10194) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP133194) |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2021-03-29 |