| NPI | 1619221165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1140934) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS R876914) |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 1-165742) | |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2024-01-10 |