| NPI | 1568962611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1.032023) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 251990) |
| Enumeration Date | 2018-02-15 |
| Last Update Date | 2024-10-08 |