| NPI | 1881047967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 7487605-4405) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP131428) |
| Enumeration Date | 2016-07-13 |
| Last Update Date | 2022-09-21 |