| NPI | 1841720919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP09248) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP133756) |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2022-06-30 |