| NPI | 1578198222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1046891) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN263783NP) |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2022-10-04 |