| NPI | 1053903831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1029226) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA 0001315203) |
| Enumeration Date | 2021-02-03 |
| Last Update Date | 2024-06-17 |