| NPI | 1821337049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5020009) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP122753) |
| Enumeration Date | 2013-02-07 |
| Last Update Date | 2024-05-13 |