| NPI | 1023506250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 22812) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP137041) |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2024-05-10 |