| NPI | 1184108854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1014959) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 822355) |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2025-03-06 |