| NPI | 1467106237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1076359) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 273605) |
| Enumeration Date | 2022-02-09 |
| Last Update Date | 2023-02-07 |