| NPI | 1922683184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1044094) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: TX 977964) |
| Enumeration Date | 2021-03-09 |
| Last Update Date | 2023-02-01 |