| NPI | 1477024404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP139070) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN282257) |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2022-11-10 |