| NPI | 1518362896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: LA AP08025) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX AP126562) |
| Enumeration Date | 2014-10-28 |
| Last Update Date | 2024-05-17 |