| NPI | 1083190789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 1027622) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NV 811112) |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2025-03-28 |