| NPI | 1386035962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AR A004293) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX AP127474) |
| Enumeration Date | 2015-02-18 |
| Last Update Date | 2023-04-25 |