| NPI | 1508483397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 717119) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX F06202509) |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2025-03-10 |