| NPI | 1649862202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 1111972) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 836313) |
| Enumeration Date | 2021-02-05 |
| Last Update Date | 2023-03-02 |