| NPI | 1972113058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1005953) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 795136) |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2023-06-05 |