| NPI | 1558899021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1027236) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL TPAN1172) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 22696) | |
| Enumeration Date | 2017-05-30 |
| Last Update Date | 2022-08-06 |