| NPI | 1356174130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1179153) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 878682) |
| Enumeration Date | 2024-08-26 |
| Last Update Date | 2024-11-11 |