| NPI | 1760677488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9289820) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 432935) |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2023-02-22 |