| NPI | 1134950819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1170778) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 853454) |
| 363L00000X Nurse Practitioner (Licence: TX 1170778) | |
| Enumeration Date | 2024-08-13 |
| Last Update Date | 2024-08-15 |