| NPI | 1235863192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1052274) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1052274) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP1052274) | |
| Enumeration Date | 2022-07-14 |
| Last Update Date | 2022-07-23 |