| NPI | 1841904133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1111872) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 2022056772) |
| Enumeration Date | 2023-01-11 |
| Last Update Date | 2024-12-03 |