| NPI | 1578235487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 78352) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1054695) |
| Enumeration Date | 2021-09-29 |
| Last Update Date | 2024-08-05 |