| NPI | 1437748357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1035042) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS F11200537) |
| Enumeration Date | 2021-01-14 |
| Last Update Date | 2022-11-30 |