| NPI | 1396563086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1192084) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX F09241238) |
| Enumeration Date | 2024-10-01 |
| Last Update Date | 2025-03-11 |