| NPI | 1477087575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1086576) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71007233A) |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2022-09-15 |