| NPI | 1437870169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1153171) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 960533) |
| 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: TX 960533) | |
| Enumeration Date | 2022-09-09 |
| Last Update Date | 2024-02-23 |