| NPI | 1326637877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1036339) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP022956) |
| Enumeration Date | 2021-01-11 |
| Last Update Date | 2022-04-30 |