| NPI | 1538733837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1035435) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 867432) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 1035435) | |
| Enumeration Date | 2021-05-19 |
| Last Update Date | 2023-01-10 |