| NPI | 1508241415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP08312) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP129757) |
| 363L00000X Nurse Practitioner (Licence: LA AP08312) | |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2025-02-05 |