| NPI | 1811653603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1072097) |
| Additional Taxonomies | 363LS0200X Nurse Practitioner, School (Licence: TX 927345) |
| Enumeration Date | 2021-11-16 |
| Last Update Date | 2023-11-09 |