| NPI | 1952993818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1072813) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71010839A) |
| Enumeration Date | 2021-02-10 |
| Last Update Date | 2022-10-24 |