| NPI | 1386113108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 54822) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP139979) |
| Enumeration Date | 2018-11-21 |
| Last Update Date | 2024-08-06 |