| NPI | 1649958232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1179920) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: TX 577537) |
| Enumeration Date | 2023-07-05 |
| Last Update Date | 2024-11-18 |