| NPI | 1811627391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1133418) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5016372) |
| Enumeration Date | 2022-06-16 |
| Last Update Date | 2024-04-25 |