| NPI | 1972165876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP138097) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 776447) |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2024-05-14 |