| NPI | 1972251791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1072924) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 741961) |
| 363L00000X Nurse Practitioner (Licence: TX 1072924) | |
| Enumeration Date | 2022-03-10 |
| Last Update Date | 2025-01-10 |