| NPI | 1033735154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1008845) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 872856) |
| 363L00000X Nurse Practitioner (Licence: TX 1008845) | |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2023-10-24 |