| NPI | 1437634904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2018031646) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP138078) |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2020-11-11 |