| NPI | 1083218374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1030362) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 814205) |
| Enumeration Date | 2020-11-26 |
| Last Update Date | 2021-02-21 |