| NPI | 1932548062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1094693) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 85946) |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2024-05-13 |