| NPI | 1366129207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1113467) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 965641) |
| Enumeration Date | 2023-07-03 |
| Last Update Date | 2023-10-18 |