| NPI | 1497356752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1028633) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 00000) |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2024-03-24 |