| NPI | 1386793701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TN 32028) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 762390) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2022-10-25 |