| NPI | 1285201582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1019234) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TX 1019234) |
| 208VP0000X (Licence: TX 1019234) | |
| Enumeration Date | 2021-06-07 |
| Last Update Date | 2024-01-18 |