| NPI | 1396115903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WY 27259.1438) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP141551) |
| Enumeration Date | 2015-09-25 |
| Last Update Date | 2021-03-05 |