| NPI | 1760006381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1177852) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 960947) |
| Enumeration Date | 2020-05-29 |
| Last Update Date | 2024-10-16 |