| NPI | 1932540044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1142589) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 837121) |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2023-12-30 |