| NPI | 1730912361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1174907) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 904616) |
| Enumeration Date | 2024-08-20 |
| Last Update Date | 2024-09-13 |