| NPI | 1205447018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1145153) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11008648) |
| Enumeration Date | 2020-08-14 |
| Last Update Date | 2024-01-11 |