| NPI | 1790303170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 78293) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP145880) |
| Enumeration Date | 2020-07-11 |
| Last Update Date | 2024-03-24 |