| NPI | 1699116277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX 640743) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX AP124020) |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2022-02-09 |