| NPI | 1659003317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1084535) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM 68772) |
| Enumeration Date | 2022-06-29 |
| Last Update Date | 2022-06-29 |