| NPI | 1275175069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX AP144040) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX F10190145) |
| Enumeration Date | 2019-10-13 |
| Last Update Date | 2023-04-19 |