| NPI | 1114571536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1181827) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 25971) |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2025-03-04 |