| NPI | 1851028658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1094073) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX f07221129) |
| Enumeration Date | 2022-08-02 |
| Last Update Date | 2022-10-21 |