| NPI | 1669844775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP09301) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP128905) |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2022-09-14 |