| NPI | 1003412719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1060373) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV 836348) |
| Enumeration Date | 2020-12-08 |
| Last Update Date | 2023-01-17 |