| NPI | 1578811097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 828304) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 593564) |
| 363LF0000X Nurse Practitioner, Family (Licence: NM 61962) | |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2021-06-18 |