| NPI | 1669109153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1088496) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital |
| Enumeration Date | 2022-08-04 |
| Last Update Date | 2023-01-23 |