| NPI | 1598339509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 227886) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1096904) |
| 363LS0200X Nurse Practitioner, School (Licence: TX 743991) | |
| Enumeration Date | 2021-05-14 |
| Last Update Date | 2023-01-31 |