| NPI | 1003696261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1139032) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 940976) |
| Enumeration Date | 2023-10-04 |
| Last Update Date | 2023-10-12 |