| NPI | 1285282368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP142914) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024184192) | |
| Enumeration Date | 2019-08-31 |
| Last Update Date | 2023-12-01 |