| NPI | 1831868900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1006760) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1006760) |
| 163W00000X Registered Nurse (Licence: TX 891463) | |
| Enumeration Date | 2021-09-10 |
| Last Update Date | 2022-10-14 |