| NPI | 1669974515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 23808) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP137462) |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2022-03-17 |