| NPI | 1851891543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1008431) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: TX L-46909) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1006431) | |
| Enumeration Date | 2018-02-19 |
| Last Update Date | 2023-07-18 |