| NPI | 1548886468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1100500) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 961607) |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2023-03-15 |