| NPI | 1447935234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 1126447) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1126447) |
| Enumeration Date | 2023-06-19 |
| Last Update Date | 2023-09-25 |