| NPI | 1891194908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 063589-23) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP141675) |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2020-11-18 |