| NPI | 1124722582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1126418) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 926032) |
| Enumeration Date | 2023-03-29 |
| Last Update Date | 2023-07-06 |