| NPI | 1780018143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A004178) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP128779) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 9281670) | |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2023-08-23 |