| NPI | 1952852543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX AP132309) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX 827775) |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2023-06-23 |