| NPI | 1508698564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1172495) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11033712) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 335410) | |
| Enumeration Date | 2024-08-19 |
| Last Update Date | 2024-10-31 |