| NPI | 1861851743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT 124576) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP130122) |
| Enumeration Date | 2016-02-19 |
| Last Update Date | 2023-11-27 |