| NPI | 1861083487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP145357) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 903713) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN217401) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 26066) | |
| Enumeration Date | 2021-01-27 |
| Last Update Date | 2021-01-27 |