| NPI | 1952937609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1137267) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11007887) |
| 363LF0000X Nurse Practitioner, Family (Licence: MI 4704407104) | |
| Enumeration Date | 2020-03-13 |
| Last Update Date | 2023-11-16 |