| NPI | 1427092394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP130045) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000010424) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN225144) | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2021-10-07 |