| NPI | 1386138774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1038308) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 104620) |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2024-04-28 |