| NPI | 1891294393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 342563) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1072735) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1072735) | |
| Enumeration Date | 2018-02-09 |
| Last Update Date | 2023-10-13 |