| NPI | 1548866452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1046228) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 846249) |
| Enumeration Date | 2020-12-07 |
| Last Update Date | 2023-11-27 |