| NPI | 1205619053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1130613) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 33392) |
| Enumeration Date | 2023-08-16 |
| Last Update Date | 2023-08-16 |