| NPI | 1689268047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX 1031036) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NC 5017336) |
| Enumeration Date | 2021-02-25 |
| Last Update Date | 2024-07-02 |