| NPI | 1619646262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1166657) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024182084) |
| Enumeration Date | 2021-09-08 |
| Last Update Date | 2024-08-19 |