| NPI | 1659772028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 197275-4405) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP131785) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9391049) | |
| 363LF0000X Nurse Practitioner, Family (Licence: UT 197275-8900) | |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2020-01-14 |