| NPI | 1326811902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1169104) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 117841) |
| Enumeration Date | 2023-11-06 |
| Last Update Date | 2024-09-04 |