| NPI | 1740915610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1097191) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: TX 702888) |
| Enumeration Date | 2022-07-23 |
| Last Update Date | 2022-11-08 |