| NPI | 1568028652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 1180302) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 965754) |
| Enumeration Date | 2019-05-14 |
| Last Update Date | 2025-01-24 |