| NPI | 1811445745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD AC005209) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP132280) |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2024-12-04 |