| NPI | 1568616654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP05592) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA RN068268) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 677299) | |
| Enumeration Date | 2008-11-17 |
| Last Update Date | 2023-03-23 |