| NPI | 1831689066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1112873) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 938654) |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2024-01-02 |