| NPI | 1871094185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1080931) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 875738) |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2023-05-31 |