| NPI | 1861951527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX AP141596) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX 790971) |
| Enumeration Date | 2019-03-12 |
| Last Update Date | 2023-02-27 |