| NPI | 1336716182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 2020040150) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1023284) |
| Enumeration Date | 2021-06-09 |
| Last Update Date | 2024-11-07 |