| NPI | 1821413501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OK R0071168) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP130039) |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2024-04-11 |