| NPI | 1760213706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1178373) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 904775) |
| Enumeration Date | 2024-08-12 |
| Last Update Date | 2024-10-23 |