| NPI | 1356985063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1012655) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209020053) |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2024-09-27 |