| NPI | 1730661521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP138273) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71014775A) |
| 363LF0000X Nurse Practitioner, Family (Licence: NH 090176-23) | |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2024-07-10 |