| NPI | 1750959714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX F06210215) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX 1047976) |
| Enumeration Date | 2021-06-16 |
| Last Update Date | 2023-07-25 |