| NPI | 1124800719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1141404) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR 226324) |
| Enumeration Date | 2023-10-18 |
| Last Update Date | 2024-10-28 |