| NPI | 1477743847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP137109) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209006591) |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2024-11-22 |