| NPI | 1568088581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1069613) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 838885) |
| 363LF0000X Nurse Practitioner, Family (Licence: ND R52116) | |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2023-04-25 |