| NPI | 1518479948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP09441) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP134443) |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2025-02-12 |