| NPI | 1710641618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1056015) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1056015) |
| 363LF0000X Nurse Practitioner, Family (Licence: UT 13381053-4405) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0100776-C-NP) | |
| Enumeration Date | 2021-10-26 |
| Last Update Date | 2023-11-15 |