| NPI | 1518391879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX 661677) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP124291) |
| Enumeration Date | 2013-08-22 |
| Last Update Date | 2023-06-23 |