| NPI | 1467820290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R254656) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP128974) |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2024-04-01 |