| NPI | 1932507381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R176893) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP128483) |
| Enumeration Date | 2014-12-17 |
| Last Update Date | 2023-12-07 |