| NPI | 1285207860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1048025) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX 1048025) |
| Enumeration Date | 2021-07-21 |
| Last Update Date | 2024-01-04 |