| NPI | 1659180123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX 1189443) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX F12240796) |
| Enumeration Date | 2024-12-30 |
| Last Update Date | 2025-01-31 |