| NPI | 1295311165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: TX 1086552) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: MN 7373) |
| Enumeration Date | 2021-03-22 |
| Last Update Date | 2024-07-10 |