| NPI | 1366011447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1046596) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX F06211123) |
| Enumeration Date | 2021-06-22 |
| Last Update Date | 2024-05-28 |