| NPI | 1689042244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1148833) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 340053) |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2024-06-13 |