| NPI | 1619311594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 761701) |
| Enumeration Date | 2013-04-23 |
| Last Update Date | 2023-04-10 |