| NPI | 1679315295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX unknown) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1068915) |
| Enumeration Date | 2024-06-12 |
| Last Update Date | 2024-10-29 |