| NPI | 1003521261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1108368) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX F01230137) |
| Enumeration Date | 2023-01-20 |
| Last Update Date | 2023-01-20 |