| NPI | 1710467303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1070208) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 882978) |
| Enumeration Date | 2018-08-14 |
| Last Update Date | 2024-01-24 |