| NPI | 1487125225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9355030) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9355030) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP139671) | |
| Enumeration Date | 2018-12-05 |
| Last Update Date | 2018-12-05 |