| NPI | 1275248817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1112877) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 914859) |
| Enumeration Date | 2023-01-18 |
| Last Update Date | 2023-03-27 |