| NPI | 1932815875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1111887) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX F01230707) |
| Enumeration Date | 2023-01-24 |
| Last Update Date | 2023-04-03 |