| NPI | 1831639020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP133518) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704383832) |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2023-02-28 |