| NPI | 1376256123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX 1098253) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: TX 1098253) |
| Enumeration Date | 2022-12-26 |
| Last Update Date | 2023-05-03 |