| NPI | 1649957820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1126456) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM 74758) |
| Enumeration Date | 2023-06-29 |
| Last Update Date | 2024-11-13 |