| NPI | 1083230320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1010457) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 885070) |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2024-04-02 |