| NPI | 1457980344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1016492) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 885218) |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2021-03-09 |