| NPI | 1639455926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-114749) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 770026) |
| Enumeration Date | 2011-10-31 |
| Last Update Date | 2024-03-08 |