| NPI | 1538529680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1132565) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 880270) |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2023-08-18 |