| NPI | 1669848156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AR A005928) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX AP128853) |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2021-09-06 |