| NPI | 1790285575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1110342) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 919950) |
| Enumeration Date | 2018-02-18 |
| Last Update Date | 2024-03-19 |