| NPI | 1356591713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 778564) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP118789) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN231598) | |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2024-02-06 |