| NPI | 1649878554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX F10200747) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71011277A) |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2024-09-18 |