| NPI | 1750041950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1062192) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 33396) |
| Enumeration Date | 2021-12-29 |
| Last Update Date | 2024-05-29 |