| NPI | 1750964813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1146175) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R231252) |
| Enumeration Date | 2021-05-05 |
| Last Update Date | 2025-02-04 |