| NPI | 1851029169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 69116) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM 69116) |
| Enumeration Date | 2022-08-13 |
| Last Update Date | 2024-08-07 |