| NPI | 1316627334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1138552) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 887477) |
| Enumeration Date | 2023-07-24 |
| Last Update Date | 2023-10-17 |