| NPI | 1497181606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP141480) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DE LG0000691) |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2023-01-27 |