| NPI | 1306461876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX f06200776) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 1006649) |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2024-10-30 |