| NPI | 1710531389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1006971) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SD CP001606) |
| 363LF0000X Nurse Practitioner, Family (Licence: SD CP001606) | |
| Enumeration Date | 2019-07-31 |
| Last Update Date | 2020-10-14 |