| NPI | 1245923622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 1126344) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 856097) |
| Enumeration Date | 2023-05-31 |
| Last Update Date | 2023-06-20 |