| NPI | 1841958758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1061789) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX f12200655) |
| Enumeration Date | 2021-12-08 |
| Last Update Date | 2021-12-22 |