| NPI | 1669080685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1160153) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP024910) |
| Enumeration Date | 2020-07-15 |
| Last Update Date | 2025-02-03 |