| NPI | 1679530166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP2201X Registered Nurse, Ambulatory Care (Licence: TX 438983) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 0035495-22) |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2023-09-06 |