| NPI | 1659199487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1190027) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 944297) |
| 363L00000X Nurse Practitioner (Licence: TX 1190027) | |
| Enumeration Date | 2024-10-01 |
| Last Update Date | 2025-03-07 |