| NPI | 1003525874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1098680) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX F10220569) |
| Enumeration Date | 2022-11-21 |
| Last Update Date | 2024-04-25 |