| NPI | 1669707022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX 659406) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX AP118294) |
| Enumeration Date | 2009-10-02 |
| Last Update Date | 2023-09-14 |