| NPI | 1518585355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK R0101182) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP143908) |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2020-12-29 |