| NPI | 1790151710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 118529) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP128700) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 128700) | |
| Enumeration Date | 2015-08-13 |
| Last Update Date | 2025-01-13 |