| NPI | 1902225907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX AP125098) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX 689546) |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2022-12-13 |