| NPI | 1386099315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP130505) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 20901388) |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2022-06-10 |