| NPI | 1245739564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 33869) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP136351) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP136351) | |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2023-10-29 |