| NPI | 1124728340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1127842) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95019282) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 11011084) | |
| Enumeration Date | 2023-03-07 |
| Last Update Date | 2024-09-19 |