| NPI | 1609311521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX AP132844) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: SC APN.20584 APRN) |
| 363LF0000X Nurse Practitioner Family (Licence: FL ARNP9403805) | |
| Enumeration Date | 2017-01-01 |
| Last Update Date | 2020-09-23 |