| NPI | 1730688151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 28177) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX F12170042) |
| Enumeration Date | 2018-02-12 |
| Last Update Date | 2024-06-26 |