| NPI | 1972007250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 13658-33) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP136979) |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2023-05-01 |