| NPI | 1396458287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 854628) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1085714) |
| Enumeration Date | 2023-01-05 |
| Last Update Date | 2024-04-01 |