| NPI | 1972071983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX AP139266) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP139266) |
| Enumeration Date | 2018-11-07 |
| Last Update Date | 2024-04-05 |