| NPI | 1871038281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1141131) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3010975) |
| Enumeration Date | 2016-12-21 |
| Last Update Date | 2024-05-13 |