| NPI | 1942700604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1037170) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 920251) |
| Enumeration Date | 2018-02-19 |
| Last Update Date | 2021-06-29 |