| NPI | 1598152548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN002275) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP127826) |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2016-10-16 |