| NPI | 1699264531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024184466) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 821736) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP138129) | |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2024-06-25 |