| NPI | 1801455266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 207482) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP137956) |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2025-04-16 |